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General NPI Number Information
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NPI Number | 1922803444
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Entity Type | Individual
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Provider Name | GENIFER GARDNER RN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 12606 E MISSION AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-3421
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Country | US
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Telephone | 509-603-5475
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Fax |
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Provider Business Mailing Address
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Address Line | 8588 W FERGUSON LN
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City | RATHDRUM
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State | ID
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Zip | 83858-4213
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Country | US
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Telephone | 206-351-8693
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 7171343
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 7171343
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License Number State | ID
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